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Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Clinical Expertise in Adult Health | 40-50% | - Pathophysiology and Clinical Management - Diagnostics and Laboratory Interpretation - Health Assessment and Promotion - Acute and Chronic Disease Management - Pharmacology for Adult Populations - Therapeutic Interventions and Treatments |
| Foundations of Advanced Practice | 8-12% | - Evidence-Based Practice Principles - Healthcare Policy and Advocacy - Theoretical Foundations of Nursing - Professional Ethics and Legal Issues - Advanced Practice Role Development |
| Leadership and Consultation | 15-20% | - Change Management and Innovation - Healthcare Leadership Principles - Consultation and Collaboration Skills - Quality Improvement and Patient Safety - Interprofessional Team Collaboration |
| Systems and Outcomes | 10-15% | - Healthcare Informatics and Technology - Resource Management and Cost-Effectiveness - Healthcare Delivery Systems - Risk Management and Quality Assurance - Regulatory Compliance and Standards |
| Education and Research | 10-15% | - Clinical Scholarship and Publication - Patient and Staff Education - Research Utilization and Evidence Appraisal - Data Analysis and Outcome Measurement |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
1. Edema is defined as what?
A) Color.
B) Temperature.
C) Swelling.
D) Dysfunction.
2. A mother is in the office with her child for a well-child check. She asks you a question regarding her period. The ACNS understands that non-nursing mothers resume menstruation after childbirth when?
A) in 30 days
B) in 45 days
C) in 7-9 weeks
D) in 2-4 weeks
3. The Scope of Practice for the CNS is an important concept of the professional role. Which of the following is NOT true regarding it?
A) Many organizations have completed role delineation studies which attempt to qualify the core behaviors that all advanced practice nurses must possess.
B) General scope of practice is specified in many published professional documents like the Scope and Standards of Advanced Practice Registered Nursing, 1996.
C) Broad variation exists from state to state concerning the Scope of CNS Practice.
D) The Scope of practice of pediatric nurse practiitoners (PCNS) is the same as that for gerontological nurse practitiioner (GCNS).
4. Which of the following is accurate of the acid-base balance of a patient who is in the progressive stage of shock?
A) Metabolic acidosis.
B) None of these.
C) Profound acidosis.
D) Respiratory alkalosis.
5. A hold order may be ordered for patients on insulin therapy if the glucose threshold is what?
A) <110 mg/dL.
B) <100 mg/dL.
C) <105 mg/dL.
D) <115 mg/dL.
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: C | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: B |



